Individual
JENNA ROSE TALLEDA
Active
Individual
JENNA ROSE TALLEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D./N, CIEC
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND5196
FL
133V00000X
Registered Dietitian
ND5196
FL
Other
Enumeration date
07/13/2009
Last updated
10/03/2018
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